A04958 Text:

STATE OF NEW YORK
________________________________________________________________________
4958
2015-2016 Regular Sessions
IN ASSEMBLY
February 9, 2015
___________
Introduced by M. of A. GLICK, TITONE, JAFFEE, O'DONNELL, BARRETT,
ROBERTS, SKOUFIS, ZEBROWSKI, SCHIMEL, ROSENTHAL, KAVANAGH -- Multi-
Sponsored by -- M. of A. COOK, HEVESI, LAVINE, RYAN, STIRPE, THIELE --
read once and referred to the Committee on Higher Education
AN ACT to amend the education law, in relation to prohibiting mental
health professionals from engaging in sexual orientation change
efforts with a patient under the age of eighteen years and expanding
the definition of professional misconduct with respect to mental
health professionals
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Legislative findings and intent. The Legislature hereby
2 finds and declares all of the following:
3 a. Being lesbian, gay, bisexual or transgender is not a disease,
4 disorder, illness, deficiency, or shortcoming. The major professional
5 associations of mental health practitioners and researchers in the
6 United States have recognized this fact for nearly 40 years.
7 b. The American Psychological Association convened a Task Force on
8 Appropriate Therapeutic Responses to Sexual Orientation. The task force
9 conducted a systematic review of peer-reviewed journal literature on
10 sexual orientation change efforts, and issued a report in 2009. The task
11 force concluded that sexual orientation change efforts can pose critical
12 health risks to lesbian, gay, bisexual or transgender people, including
13 confusion, depression, guilt, helplessness, hopelessness, shame, social
14 withdrawal, suicidality, substance abuse, stress, disappointment, self-
15 blame, decreased self-esteem and authenticity to others, increased self-
16 hatred, hostility and blame toward parents, feelings of anger and
17 betrayal, loss of friends and potential romantic partners, problems in
18 sexual and emotional intimacy, sexual dysfunction, high-risk sexual
19 behaviors, a feeling of being dehumanized and untrue to self, a loss of
20 faith, and a sense of having wasted time and resources.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01398-01-5

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1 c. The American Psychological Association issued a resolution on
2 Appropriate Affirmative Responses to Sexual Orientation Distress and
3 Change Efforts in 2009, which states: The American Psychological Associ-
4 ation advises parents, guardians, young people, and their families to
5 avoid sexual orientation change efforts that portray homosexuality as a
6 mental illness or developmental disorder and to seek psychotherapy,
7 social supports, and educational services that provide accurate informa-
8 tion on sexual orientation and sexuality, increase family and school
9 support, and reduce rejection of sexual minority youth.
10 d. The American Psychiatric Association published a position statement
11 in March of 2000 in which it stated: "Psychotherapeutic modalities to
12 convert or 'repair' homosexuality are based on developmental theories
13 whose scientific validity is questionable. Furthermore, anecdotal
14 reports of 'cures' are counterbalanced by anecdotal claims of psycholog-
15 ical harm. In the last four decades, 'reparative' therapists have not
16 produced any rigorous scientific research to substantiate their claims
17 of cure. Until there is such research available, the American Psychiat-
18 ric Association recommends that ethical practitioners refrain from
19 attempts to change individuals' sexual orientation, keeping in mind the
20 medical dictum to first, do no harm. The potential risks of reparative
21 therapy are great, including depression, anxiety and self-destructive
22 behavior, since therapist alignment with societal prejudices against
23 homosexuality may reinforce self-hatred already experienced by the
24 patient. Many patients who have undergone reparative therapy relate that
25 they were inaccurately told that homosexuals are lonely, unhappy indi-
26 viduals who never achieve acceptance or satisfaction. The possibility
27 that the person might achieve happiness and satisfying interpersonal
28 relationships as a gay man or lesbian is not presented, nor are alterna-
29 tive approaches to dealing with the effects of societal stigmatization
30 discussed. Therefore, the American Psychiatric Association opposes any
31 psychiatric treatment such as reparative or conversion therapy which is
32 based upon the assumption that homosexuality per se is a mental disorder
33 or based upon the a priori assumption that a patient should change
34 his/her sexual orientation."
35 e. The American School Counselor Association's position statement on
36 professional school counselors and lesbian, gay, bisexual, transgen-
37 dered, and questioning (LGBTQ) youth states: It is not the role of the
38 professional school counselor to attempt to change a student's sexual
39 orientation/gender identity but instead to provide support to LGBTQ
40 students to promote student achievement and personal well-being. Recog-
41 nizing that sexual orientation is not an illness and does not require
42 treatment, professional school counselors may provide individual student
43 planning or responsive services to LGBTQ students to promote self-accep-
44 tance, deal with social acceptance, understand issues related to coming
45 out, including issues that families may face when a student goes through
46 this process and identify appropriate community resources.
47 f. The American Academy of Pediatrics in 1993 published an article in
48 its journal, Pediatrics, stating: Therapy directed at specifically
49 changing sexual orientation is contraindicated, since it can provoke
50 guilt and anxiety while having little or no potential for achieving
51 changes in orientation.
52 g. The American Medical Association Council on Scientific Affairs
53 prepared a report in 1994 in which it stated: Aversion therapy (a behav-
54 ioral or medical intervention which pairs unwanted behavior , in this
55 case, homosexual behavior, with unpleasant sensations or aversive conse-
56 quences) is no longer recommended for gay men and lesbians. Through

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1 psychotherapy, gay men and lesbians can become comfortable with their
2 sexual orientation and understand the societal response to it.
3 h. The National Association of Social Workers prepared a 1997 policy
4 statement in which it stated: Social stigmatization of lesbian, gay and
5 bisexual people is widespread and is a primary motivating factor in
6 leading some people to seek sexual orientation changes. Sexual orien-
7 tation conversion therapies assume that homosexual orientation is both
8 pathological and freely chosen. No data demonstrates that reparative or
9 conversion therapies are effective, and, in fact, they may be harmful.
10 i. The American Counseling Association Governing Council issued a
11 position statement in April of 1999, and in it the council states: We
12 oppose 'the promotion of 'reparative therapy' as a 'cure' for individ-
13 uals who are homosexual.
14 j. The American Psychoanalytic Association issued a position statement
15 in June 2012 on attempts to change sexual orientation, gender, identity,
16 or gender expression, and in it the association states: As with any
17 societal prejudice, bias against individuals based on actual or
18 perceived sexual orientation, gender identity or gender expression nega-
19 tively affects mental health, contributing to an enduring sense of stig-
20 ma and pervasive self-criticism through the internalization of such
21 prejudice. Psychoanalytic technique does not encompass purposeful
22 attempts to 'convert,' 'repair,' change or shift an individual's sexual
23 orientation, gender identity or gender expression. Such directed
24 efforts are against fundamental principles of psychoanalytic treatment
25 and often result in substantial psychological pain by reinforcing damag-
26 ing internalized attitudes.
27 k. The American Academy of Child and Adolescent Psychiatry in 2012
28 published an article in its journal, Journal of the American Academy of
29 Child and Adolescent Psychiatry, stating: Clinicians should be aware
30 that there is no evidence that sexual orientation can be altered through
31 therapy, and that attempts to do so may be harmful. There is no empir-
32 ical evidence adult homosexuality can be prevented if gender nonconform-
33 ing children are influenced to be more gender conforming. Indeed, there
34 is not medically valid basis for attempting to prevent homosexuality,
35 which is not an illness. On the contrary, such efforts may encourage
36 family rejection and undermine self-esteem, connectedness and caring,
37 important protective factors against suicidal ideation and attempts.
38 Given that there is no evidence that efforts to alter sexual orientation
39 are effect, beneficial or necessary, and the possibility that they carry
40 the risk of significant harm, such interventions are contraindicated.
41 l. The Pan American Health Organization, a regional office of the
42 World Health Organization, issued a statement in May of 2012 and in it
43 the organization states: These supposed conversion therapies constitute
44 a violation of the ethical principles of health care and violate human
45 rights that are protected by international regional agreements. The
46 organization also noted that reparative therapies lack medical justi-
47 fication and represent a serious threat to the health and well-being of
48 affected people.
49 m. Minors who experience family rejection based on their sexual orien-
50 tation face especially serious health risks. In one study, lesbian, gay,
51 and bisexual young adults who reported higher levels of family rejection
52 during adolescence were 8.4 times more likely to report having attempted
53 suicide, 5.9 times more likely to report high levels of depression, 3.4
54 times more likely to use illegal drugs, and 3.4 times more likely to
55 report having engaged in unprotected sexual intercourse compared with
56 peers from families that reported no or low levels of family rejection.

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1 This is documented by Caitlin Ryan et al. in their article entitled
2 Family Rejection as a Predictor of Negative Health Outcomes in White and
3 Latino Lesbian, Gay, and Bisexual Young Adults (2009) 123 Pediatrics
4 346.
5 n. New York has a compelling interest in protecting the physical and
6 psychological well-being of minors, including lesbian, gay, bisexual,
7 and transgender youth, and in protecting its minors against exposure to
8 serious harms caused by sexual orientation change efforts.
9 § 2. The education law is amended by adding a new section 6509-d to
10 read as follows:
11 § 6509-d. Additional definition of professional misconduct; mental
12 health professionals. 1. For the purposes of this section:
13 a. "Mental health professional" means a person subject to the
14 provisions of article one hundred fifty-three, one hundred fifty-four or
15 one hundred sixty-three of this title; or any other person designated as
16 a mental health professional pursuant to law, rule or regulation.
17 b. "Sexual orientation change efforts" (i) means any practice by a
18 mental health professional that seeks to change an individual's sexual
19 orientation, including, but not limited to, efforts to change behaviors,
20 gender identity, or gender expressions, or to eliminate or reduce sexual
21 or romantic attractions or feelings towards individuals of the same sex
22 and (ii) shall not include counseling for a person seeking to transition
23 from one gender to another, or psychotherapies that: (A) provide accept-
24 ance, support and understanding of patients or the facilitation of
25 patients' coping, social support and identity exploration and develop-
26 ment, including sexual orientation-neutral interventions to prevent or
27 address unlawful conduct or unsafe sexual practices; and (B) do not seek
28 to change sexual orientation.
29 2. It shall be professional misconduct for a mental health profes-
30 sional to engage in sexual orientation change efforts upon any patient
31 under the age of eighteen years, and any mental health professional
32 found guilty of such misconduct under the procedures prescribed in
33 section sixty-five hundred ten of this subarticle shall be subject to
34 the penalties prescribed in section sixty-five hundred eleven of this
35 subarticle.
36 § 3. The education law is amended by adding a new section 6531-a to
37 read as follows:
38 § 6531-a. Additional definition of professional misconduct; mental
39 health professionals. 1. Definitions. For the purposes of this section:
40 a. "Mental health professional" means a person subject to the
41 provisions of article one hundred thirty-one of this title.
42 b. "Sexual orientation change efforts" (i) means any practice by a
43 mental health professional that seeks to change an individual's sexual
44 orientation, including, but not limited to, efforts to change behaviors,
45 gender identity, or gender expressions, or to eliminate or reduce sexual
46 or romantic attractions or feelings towards individuals of the same sex;
47 and (ii) shall not include counseling for a person seeking to transition
48 from one gender to another, or psychotherapies that: (A) provide accept-
49 ance, support and understanding of patients or the facilitation of
50 patients' coping, social support, and identity exploration and develop-
51 ment, including sexual orientation-neutral interventions to prevent or
52 address unlawful conduct or unsafe sexual practices; and (B) do not seek
53 to change sexual orientation.
54 2. It shall be professional misconduct for a mental health profes-
55 sional to engage in sexual orientation change efforts upon any patient
56 under the age of eighteen years, and any mental health professional

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1 found guilty of such misconduct under the procedures prescribed in title
2 two-A of article two of the public health law shall be subject to the
3 penalties prescribed in section two hundred thirty-a of the public
4 health law, as added by chapter six hundred six of the laws of nineteen
5 hundred ninety-one.
6 § 4. This act shall take effect immediately.